[{"data":1,"prerenderedAt":47},["ShallowReactive",2],{"q-nurse-106-1-basic-medicine-028":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":23},"基礎醫學","basic-medicine","基礎醫學(包括解剖學、生理學、病理學、藥理學、微生物學與免疫學)",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"freq":11},"nurse-106-1-基礎醫學-028","nurse-106-1-basic-medicine-028",106,1,28,"若腎小管無法將氫離子有效排除時，在代償作用發生之前最可能發生下列何種現象？",{"A":15,"B":16,"C":17,"D":18},"代謝性酸中毒","代謝性鹼中毒","呼吸性酸中毒","呼吸性鹼中毒","A",null,[],"本題考點為腎臟排酸障礙導致的酸鹼失衡。依酸鹼平衡生理,腎小管負責排泌氫離子並再吸收碳酸氫根,若腎小管無法有效排除氫離子,體內酸性物質蓄積、碳酸氫根流失,在代償尚未啟動前會出現代謝性酸中毒,故選A。B代謝性鹼中毒與此相反,為酸流失或鹼過多所致。C呼吸性酸中毒源於肺換氣不足使二氧化碳滯留,屬呼吸性而非腎性。D呼吸性鹼中毒為過度換氣所致。關鍵在辨識氫離子排除障礙屬「代謝性」且為「酸中毒」。",[24,27,31,35,39,43],{"webId":25,"stem":26,"number":11,"year":10,"session":11},"nurse-106-1-basic-medicine-001","下列有關表皮的敘述，何者正確？",{"webId":28,"stem":29,"number":30,"year":10,"session":11},"nurse-106-1-basic-medicine-002","下列何者在組織學特徵上可區分為絲球帶（zona glomerulosa）、束狀帶（zona fasciculata）、網狀帶（zona reticularis）？",2,{"webId":32,"stem":33,"number":34,"year":10,"session":11},"nurse-106-1-basic-medicine-003","顴弓（zygomatic arch）是由顴骨與下列何者共同組成？",3,{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-106-1-basic-medicine-004","下列何者參與形成踝關節？",4,{"webId":40,"stem":41,"number":42,"year":10,"session":11},"nurse-106-1-basic-medicine-005","下列何者是維持背部直立最重要的肌肉？",5,{"webId":44,"stem":45,"number":46,"year":10,"session":11},"nurse-106-1-basic-medicine-006","行走於前臂的內側，並與上臂深層的靜脈會合成腋靜脈的是那一條血管？",6,1783840732037]